@article{8796, keywords = {Antigens, Bacterial, Enzyme-Linked Immunosorbent Assay, Glycolipids, Humans, leprosy, Mycobacterium leprae, Sensitivity and Specificity}, author = {Mahon A C and Nurlign A and Kebede B and Becx-Bleumink M and Lefford M J}, title = {Urinary phenolic glycolipid 1 in the diagnosis and management of leprosy.}, abstract = {

A simplified assay to measure the phenolic glycolipid 1 (PGL-1) of Mycobacterium leprae in the urine was applied to the diagnosis of leprosy and the monitoring of antileprosy chemotherapy. One hundred seventy-nine previously untreated patients and 25 normal controls were tested. The specificity of the assay was 100%. There were no false-positive results. The sensitivity of the assay varied with the type of leprosy from 92% for lepromatous leprosy to 56% for borderline lepromatous and 18% for borderline tuberculoid patients. After the onset of chemotherapy in lepromatous leprosy patients, there was often a transient increase of urinary PGL-1, followed by a steady decline. Within 3 months of multiple drug therapy, urinary PGL-1 levels were reduced by 90%-99% and were often undetectable. This assay appears to have considerable potential for monitoring chemotherapy and detecting treatment failure and relapse in patients with Hansen's disease.

}, year = {1991}, journal = {The Journal of infectious diseases}, volume = {163}, pages = {653-6}, month = {1991 Mar}, issn = {0022-1899}, doi = {10.1093/infdis/163.3.653}, language = {eng}, }